08-104997 •
• Mechanical
City of Federal Way Q
Community Development Services Permit #: 08-104997-00-M E
PO.Box 9718
Federal Way,WA 98063-9718
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: WALKER
Project Address: 33513 18TH AVE S' Parcel Number: 412940 0020
Project Description: Install vent fan for bathroom & kitchen
Owner Applicant Contractor
GLORIA G MCQUESTEN LARRY'S REPAIR LARRY'S REPAIR
GLORIA WALKER 4320 196TH ST SW LARRYR*081BS(1/08/09)
33513 18TH AVE S LYNNWOOD WA 98036 4320 196TH ST SW
FEDERAL WAY WA 98003 LYNNWOOD WA 98036
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Mechanical Valuation 500 Is this an Online or O.T.C.application9 Yes
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PERMIT EXPIRES Monday, April 20, 2009
Permit Issued on Wednesday, October 22, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
•d the .. of -.- W.
Owner or agent: ' Date:
4141
M
- - THIS CARD IS TO *MMAIN ON-SITE
CITY OF tommunity Development Inspection
Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104997-00-ME
Owner: GLORIA G MCQUESTEN
Address: 33513 18TH AVE S •
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FEDERAL WAY, WA 98003-6822
•
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD,
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date B 55 Dat'C Z t
•
•
•
. r
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
iw IIE ERMIT - -JO-14
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COMMTIN1TYDEVELOPMENTSERVICE3 SF MF COPL DE EN FP
33325 A35-2607.VENUE �> 9718OCT 2 2 2)-';PPLICATION
FEDERAL WAY,WA 98063-9718
AX 253-8354609
www.cilueffederationu.com ( , �j�//�
The foilowin e e ht i� 'r Sn'fnc"d oiete application wilt not be accepted. Please print legibly(in Ink)or type.
■ PROPERTY INFORMATION
SITE ADDRESS 3 3 TI /�T L ✓ I �j SUITE/UNIT 9
ASSESSOR'S TAX/PARCEL 9 4 l 2 G1 7 l� - ✓ Q 2_ LOT SIZE s-
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach seParatePageftw&WAY Need d• v
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work in.duded o)this permit onbil
•
PROJECT NAME(Name of Business or Owner Last Name) 1 '1 Z
NI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER (9— c w0, 1k (a53') e3 - a9 —
MAIUNO ADDRESS CITY,STATE,RP E-MAIL ADDRESS
?3,c 1 i A-)c. S 'c
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
l5 ..c i Ly✓� <z - -)) (4l>flItfs7
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(n�(, `i.3 DO / 4-T5 673 ?MO aI;alA L r,-, 9 - yam (a-d,c5f1=. -9 G 3 7
env OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATIO DAT FAX NUMBER
o 1 / /(7 ( , )
CONTRACTOR'S N EXPIRATION DATE E-MAIL ADDRESS
/ '7A- ( ) s
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER -
o Architect ❑Tenant ❑Agent 0 Other ( )
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required((project value exceeds 55,000
MAILING ADDRESS CITY.STATE,ZIP PHONE
" )
® DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES a NO FIRE,SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS zaslua "63"383° TOTAL TOTAL rose TOTAL PROP SF TOTAL SF
*'NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
5 FIXTURES
Indicatenumber of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
CAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS IS FANS GAS WATER HEATERS MISC(Describe)
BOILERS < :_ FIREPLACE INSERTS HOODS(Commedeq
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orn,n/Shower Combo) LAVS(swum=S URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS trona)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I corgis under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best of my
knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Wag regulations pertaining to the work authorised by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
I/farther agree to hold harmless the City of Federal Wag as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to
the city as a part of this application.
SIGNATURE:- ®/ f DATE 1 / O
D NEW o ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES o NO IIP/BEPA/SU? p YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application